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RESPIRATORY HESI PREP EXAM
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RESPIRATORY HESI PREP EXAM2024-2025
Which trigger would the nurse advise a client to avoid to reduce the occurrence of
asthma attacks? Select all that apply.
Mould
Cold air
Pet dander
Air pollution
cigarette smoke - answer all.
Clients with asthma should be advised to avoid asthma attack triggers such as
mould, cold air, pet dander, air pollution, and cigarette smoke.
When caring for a client who has undergone a bronchoscopy in the ambulatory
surgical unit, what would the nurse do first?
Offer ice chips to reduce throat soreness.
Avoid turning your head side to side.
Keep the client in the semi-fowler position.
advise medication lozenges for sore throat - ANSWER: Keep the client in
semi-fowlers.
When the head is elevated rather than horizontal or dependent, fluid does not
collect in the interstitial spaces around the trachea.
,Because the client's gag reflex may be impaired, ice chips or drink would not be
provided.
There is no restriction on turning the head following a bronchoscopy.
Medicated lozenges are not recommended since they may numb the throat, further
reducing the gag reflex.
Which finding following a bronchoscopy suggests that the client's gag reflex has
returned?
Alert and orientated.
Able to swallow saliva.
speaks without trouble
denies sore throat - ANSWER: ability to swallow saliva.
The capacity to swallow suggests that the gag reflex is functional. Clients may be
conscious but have a reduced gag reflex, particularly if a topical anaesthetic was
used to numb the throat. Clients may be able to communicate while still having a
lessened gag reflex. Because bronchoscopy causes stress to the structures of the
pharynx, a client who denies having a painful throat may have continuing
numbness and a diminished gag reflex.
Which rationale would the nurse use to teach a client with chronic obstructive
pulmonary disease (COPD) to breathe with pursed lips?
Reduce air trapping.
Prevent bronchial dilation.
, strengthen the intercostal muscles.
reduce diaphragmatic excursion - ANSWER: decrease air trapping
Pursed-lip breathing prolongs the expiratory phase while increasing airway positive
pressure, resulting in more complete expiration and less air trapping.
Bronchi and bronchioles remain open longer and expand during pursed-lip
breathing.
Pursed-lip breathing does not strengthen the intercostal muscles or decrease
diaphragmatic excursion.
Which finding should a client who has recently returned to the nursing unit after a
bronchoscopy and lung biopsy report to their healthcare provider?
The individual is arousable yet lethargic.
Cough produces bloody mucous.
HR: 126 bpm
The client reported dry and painful throat - ANSWER HR 126 bpm.
Tachycardia may indicate haemorrhage, which is a possible complication of
bronchoscopy and lung biopsy, and should be reported to your doctor right once.
The nurse will demand prescriptions for frequent vital signs, a full blood count, and
possibly a return to the operation room. Because sedation is utilised during
bronchoscopy, expect tiredness for a few hours after the procedure. Bloody mucus
is predicted as a result of tracheal stress and tissue injury caused by the biopsy.
Because of pharyngeal damage, bronchoscopy frequently results in a dry and
painful throat.
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